TY - JOUR
T1 - Pre-hospital policies for the care of patients with acute coronary syndromes in India
T2 - A policy document analysis
AU - Patel, Amisha
AU - Prabhakaran, Dorairaj
AU - Berendsen, Mark
AU - Mohanan, P. P.
AU - Huffman, Mark D.
N1 - Publisher Copyright:
© 2016
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Background and objective Ischemic heart disease is the leading cause of death in India. In high-income countries, pre-hospital systems of care have been developed to manage acute manifestations of ischemic heart disease, such as acute coronary syndrome (ACS). However, it is unknown whether guidelines, policies, regulations, or laws exist to guide pre-hospital ACS care in India. We undertook a nation-wide document analysis to address this gap in knowledge. Methods and results From November 2014 to May 2016, we searched for publicly available emergency care guidelines and legislation addressing pre-hospital ACS care in all 29 Indian states and 7 Union Territories via Internet search and direct correspondence. We found two documents addressing pre-hospital ACS care. Conclusion Though India has legislation mandating acute care for emergencies such as trauma, regulations or laws to guide pre-hospital ACS care are largely absent. Policy makers urgently need to develop comprehensive, multi-stakeholder policies for pre-hospital emergency cardiovascular care in India.
AB - Background and objective Ischemic heart disease is the leading cause of death in India. In high-income countries, pre-hospital systems of care have been developed to manage acute manifestations of ischemic heart disease, such as acute coronary syndrome (ACS). However, it is unknown whether guidelines, policies, regulations, or laws exist to guide pre-hospital ACS care in India. We undertook a nation-wide document analysis to address this gap in knowledge. Methods and results From November 2014 to May 2016, we searched for publicly available emergency care guidelines and legislation addressing pre-hospital ACS care in all 29 Indian states and 7 Union Territories via Internet search and direct correspondence. We found two documents addressing pre-hospital ACS care. Conclusion Though India has legislation mandating acute care for emergencies such as trauma, regulations or laws to guide pre-hospital ACS care are largely absent. Policy makers urgently need to develop comprehensive, multi-stakeholder policies for pre-hospital emergency cardiovascular care in India.
KW - Acute coronary syndromes
KW - Emergency
KW - Guidelines
KW - Healthcare infrastructure
KW - Pre-hospital
UR - http://www.scopus.com/inward/record.url?scp=84977660163&partnerID=8YFLogxK
U2 - 10.1016/j.ihj.2016.06.012
DO - 10.1016/j.ihj.2016.06.012
M3 - Article
C2 - 28400033
AN - SCOPUS:84977660163
SN - 0019-4832
VL - 69
SP - S12-S19
JO - Indian Heart Journal
JF - Indian Heart Journal
ER -